NPI: 1043331960 · OREGON, OH 43616 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,210 | $28K |
| 2021 | 231 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92002 | 332 | 332 | $14K | |
| V2020 | Vision svcs frames purchases | 454 | 454 | $8K |
| V2784 | Lens polycarb or equal | 273 | 273 | $4K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 210 | 210 | $4K |
| 92004 | 57 | 57 | $2K | |
| V2100 | Lens spher single plano 4.00 | 89 | 82 | $1K |
| 92310 | 13 | 13 | $0.00 | |
| V2750 | Anti-reflective coating | 13 | 13 | $0.00 |